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LAG-3+ Regulatory T Cells Suppress Effector Function of T Cells and Allow Their Proliferation Into Regulatory T Cells LAG-3+调节性T细胞抑制T细胞的效应功能并使其增殖为调节性T细胞。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-08 DOI: 10.1111/imm.70046
Avijit Dutta, Shi-Chuen Miaw, Tse-Ching Chen, Chia-Shiang Chang, Yu-Lin Huang, Yung-Chang Lin, Chun-Yen Lin, Ching-Tai Huang

LAG-3+ regulatory T cells suppress the effector but not the proliferative response of naïve cognate antigen-specific CD4+ T cells in vivo. The Th1, Th2, and Th17 machineries in the suppressed CD4+ T cells are impaired. Genomic study of the suppressed T cells revealed enhanced T cell receptor signalling with up-regulation of immune checkpoints, including PD-1 and PD-L1, and down-regulation of pro-inflammatory pathways. Although oxidative metabolism is reduced, the suppressed T cells retain proliferative capacity and acquire LAG-3 expression with proliferation. They acquire the capacity of LAG-3+ regulatory T cells. They inhibit the IFN-γ response of co-cultured naïve CD4+ T cells in vitro. Upon adoptive transfer, they rescue mice from lethal autoimmune pulmonitis in a dose-dependent manner. Our results implied a mechanism for the maintenance of long-lasting antigen-specific tolerance.

LAG-3+调节性T细胞在体内抑制naïve同源抗原特异性CD4+ T细胞的效应反应,但不抑制增殖反应。被抑制的CD4+ T细胞中的Th1、Th2和Th17机制受损。对被抑制T细胞的基因组研究显示,T细胞受体信号传导增强,免疫检查点(包括PD-1和PD-L1)上调,促炎通路下调。虽然氧化代谢减少,但被抑制的T细胞保持增殖能力,并随着增殖获得LAG-3表达。它们获得LAG-3+调节性T细胞的能力。它们抑制体外共培养naïve CD4+ T细胞的IFN-γ反应。在过继性转移后,它们以剂量依赖的方式拯救小鼠免于致死性自身免疫性肺炎。我们的结果暗示了维持长期抗原特异性耐受性的机制。
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引用次数: 0
Molecular Mediators of Metabolic Reprogramming in Cancer: Mechanisms, Regulatory Networks, and Therapeutic Strategies 癌症中代谢重编程的分子介质:机制、调控网络和治疗策略。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-08 DOI: 10.1111/imm.70045
Sana Ahuja, Sufian Zaheer

Metabolic reprogramming is a hallmark of cancer, enabling tumour cells to flexibly adapt to fluctuating microenvironmental conditions, sustain uncontrolled proliferation, and acquire resistance to conventional therapies. Tumour metabolism is not limited to the classical Warburg effect but encompasses a dynamic interplay between glycolysis, oxidative phosphorylation (OXPHOS), fatty acid metabolism, and amino acid utilisation, each fine-tuned according to tissue context, tumour type, and stage of progression. Central regulators such as hypoxia-inducible factor-1 (HIF-1), MYC, p53, peroxisome proliferator-activated receptors (PPARs), oestrogen receptor (ER), and sterol regulatory element-binding proteins (SREBPs) orchestrate these pathways, linking nutrient availability to oncogenic signalling and transcriptional control. This review synthesises current evidence on these interconnected metabolic circuits and critically evaluates existing controversies, such as the dual reliance on glycolysis and OXPHOS, metabolic plasticity under therapeutic pressure, and the role of stromal–tumor metabolic crosstalk. Beyond established pathways, emerging areas are transforming our understanding of tumour metabolism. Single-cell metabolic profiling and spatial metabolomics reveal profound intratumoral heterogeneity, while immunometabolism highlights the bidirectional influence of cancer cells and immune cells within the tumour microenvironment (TME). Epigenetic regulation, driven by metabolites that serve as cofactors for chromatin-modifying enzymes, further integrates metabolic states with transcriptional reprogramming and therapy response. Translationally, targeting metabolic dependencies remains challenging; promising therapeutic opportunities are being developed, including inhibitors of lactate transporters, fatty acid oxidation, and glutamine metabolism. This review integrates mechanistic insights with translational perspectives, providing conceptual models, summary tables, and schematic illustrations to clarify complex networks and highlight clinically relevant opportunities. By mapping the evolving landscape of cancer metabolism, we aim to illuminate both the challenges and the therapeutic potential of exploiting metabolic vulnerabilities in oncology.

代谢重编程是癌症的一个标志,它使肿瘤细胞能够灵活地适应波动的微环境条件,维持不受控制的增殖,并获得对常规治疗的抵抗力。肿瘤代谢不仅限于经典的Warburg效应,还包括糖酵解、氧化磷酸化(OXPHOS)、脂肪酸代谢和氨基酸利用之间的动态相互作用,每一种代谢都根据组织环境、肿瘤类型和进展阶段进行精细调整。缺氧诱导因子-1 (HIF-1)、MYC、p53、过氧化物酶体增殖物激活受体(PPARs)、雌激素受体(ER)和固醇调节元件结合蛋白(SREBPs)等中枢调节因子协调这些途径,将营养可利用性与致癌信号传导和转录控制联系起来。这篇综述综合了这些相互关联的代谢回路的现有证据,并批判性地评估了现有的争议,如糖酵解和OXPHOS的双重依赖,治疗压力下的代谢可塑性,以及间质-肿瘤代谢串扰的作用。除了已建立的途径,新兴领域正在改变我们对肿瘤代谢的理解。单细胞代谢谱和空间代谢组学揭示了肿瘤内的异质性,而免疫代谢则强调了癌细胞和免疫细胞在肿瘤微环境(TME)中的双向影响。表观遗传调控由作为染色质修饰酶辅因子的代谢物驱动,进一步将代谢状态与转录重编程和治疗反应结合起来。在翻译方面,针对代谢依赖性仍然具有挑战性;有希望的治疗机会正在开发,包括乳酸转运蛋白,脂肪酸氧化和谷氨酰胺代谢抑制剂。这篇综述将机制见解与翻译观点结合起来,提供概念模型、汇总表和示意图来阐明复杂的网络并强调临床相关的机会。通过绘制癌症代谢的演变图景,我们的目标是阐明肿瘤中利用代谢脆弱性的挑战和治疗潜力。
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引用次数: 0
Characterising the Transcriptomic Response to Interferon and Infection in European Domestic Ferret Respiratory Tissues Using Long-Read RNA Sequencing 利用长读RNA测序表征欧洲家养雪貂呼吸组织对干扰素和感染的转录组反应。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-07 DOI: 10.1111/imm.70042
Rubaiyea Farrukee, Jessie J.-Y. Chang, Jianshu Zhang, James B. Barnes, Shu Xin Zhang, Sher Maine Tan, Patrick C. Reading, Lachlan J. M. Coin

The European domestic ferret ( Mustela putorius furo ) is considered the gold standard small animal model for studying human and avian influenza virus infections. However, experimental characterisation of the transcriptomic response to interferon (IFN) stimulation and/or influenza virus infection has been limited, particularly in defining the induction of interferon-stimulated genes (ISGs), with most being computationally predicted. In this study, we present a comprehensive transcriptome-wide assessment of the ferret transcriptome following IFN-α treatment of a ferret lung (FRL) cell line, as well as in nasal turbinates from influenza A virus (IAV)-infected ferrets using long-read RNA sequencing. We have identified a panel of ferret genes orthologous to human ISGs that are upregulated both in response to IFN-α stimulation in vitro and IAV infection in vivo. We have also identified novel IFN-stimulated genes and transcripts. Furthermore, we observed elongation of the poly(A) tails of genes in the ribosome and Coronavirus Disease-19 pathways in response to IFN-α treatment in vitro, suggesting a relationship between poly(A) elongation and the antiviral responses of the host. These results illuminate the dynamics of the transcriptional innate immune response of the domestic ferret and provide an important resource for better utilising ferrets as a small animal model to study influenza virus infections.

欧洲家貂(Mustela putorius furo)被认为是研究人类和禽流感病毒感染的金标准小动物模型。然而,对干扰素(IFN)刺激和/或流感病毒感染的转录组反应的实验表征是有限的,特别是在确定干扰素刺激基因(isg)的诱导方面,大多数是通过计算预测的。在这项研究中,我们使用长读RNA测序技术,对干扰素-α治疗雪貂肺(FRL)细胞系以及甲型流感病毒(IAV)感染的雪貂鼻甲骨后的雪貂转录组进行了全面的转录组全范围评估。我们已经确定了一组与人类isg同源的雪貂基因,这些基因在体外对IFN-α刺激和体内IAV感染的反应中都上调。我们还发现了新的ifn刺激基因和转录本。此外,在体外实验中,我们观察到核糖体和冠状病毒疾病-19途径中基因的poly(A)尾部在IFN-α处理下的延长,这表明poly(A)尾部的延长与宿主的抗病毒反应有关。这些结果阐明了家养雪貂转录先天免疫反应的动力学,为更好地利用雪貂作为研究流感病毒感染的小动物模型提供了重要的资源。
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引用次数: 0
Antibody Polyreactivity: A Challenger of Immune Paradigms 抗体多反应性:免疫范式的挑战者。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-04 DOI: 10.1111/imm.70048
Anastas D. Pashov, Jordan D. Dimitrov

Polyreactivity refers to the ability of antibodies to bind multiple unrelated antigens, encompassing polyspecificity and promiscuity. Here, we discuss the diverse molecular mechanisms underlying polyreactivity, including conformational dynamics, sequence- and structural characteristics of antigen-binding sites. The importance of polyreactive antibodies in immune defence and immune homeostasis is highlighted as well as their potential pathological consequences. Polyreactivity is seen as a continuum rather than a discrete property so that ultimately all antibodies possess some degree of polyreactivity. The challenges in defining antibody specificity are examined, and a shift towards quantitative thinking in antibody research is suggested. This would foster the adoption of novel methodologies to study complex antibody–antigen interactions at a systems level. Finally, the deeper understanding of polyreactivity's potential implications for the current antibody paradigm is critically evaluated.

多反应性是指抗体结合多个不相关抗原的能力,包括多特异性和混杂性。在这里,我们讨论了多种多样的多反应性分子机制,包括构象动力学、抗原结合位点的序列和结构特征。强调了多反应性抗体在免疫防御和免疫稳态中的重要性以及它们潜在的病理后果。多反应性被看作是连续的而不是离散的性质,因此最终所有抗体都具有一定程度的多反应性。在定义抗体特异性的挑战进行了检查,并向定量思维在抗体研究的转变是建议。这将促进采用新的方法在系统水平上研究复杂的抗体-抗原相互作用。最后,深入了解多反应性对当前抗体模式的潜在影响进行了批判性评估。
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引用次数: 0
Mechanism of Tumour-Associated Macrophage-Derived Exosomes in Chemo-Sensitivity of Laryngeal Cancer by Regulating Aerobic Glycolysis via WTAP/GLUT-1 肿瘤相关巨噬细胞来源外泌体通过WTAP/GLUT-1调节有氧糖酵解在喉癌化疗敏感性中的作用机制
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-02 DOI: 10.1111/imm.70039
Xingmei Luo, Guodong Li, Yu Chen, Tongli Li

Laryngeal cancer (LC) is a condition characterised by cancerous cell development in laryngeal tissues. This article focuses on the mechanism of tumour-associated macrophage-derived exosomes (TAM-Exos) in LC chemosensitivity by mediating Wilms' tumour 1-associating protein (WTAP)/glucose transporter-1 (GLUT-1). Human peripheral blood mononuclear cells (PBMCs) were cultured in vitro. Macrophage colony-stimulating factor (M-CSF) was used to induce the differentiation of PBMCs into human peripheral blood macrophages (M0), which were further induced into tumour-associated macrophages-educated macrophages (TAMEMsC-h) by 20% human recombinant protein cocktail and transfected with sh-WTAP. TU686 cells were treated with TAMEMsC-h derived Exos, cisplatin (DDP), 2-deoxyglucose, and small-interfering-GLUT-1, with TAMEMsC-h morphology and phenotype assessed. Finally, nude mice were treated with DDP and Exos for in vivo verification. TAMEMsC-h-derived Exos promoted aerobic glycolysis and reduced LC cell sensitivity to DDP. TAMEMsC-h-derived Exos increased glucose uptake, lactic acid, lactate dehydrogenase, and adenosine triphosphate levels, facilitated aerobic glycolysis, viability, and invasion, and decreased apoptotic rate by mediating WTAP, thus reducing DDP sensitivity in TU686 cells. But the effect of TAM-Exos was reversed in response to aerobic glycolysis suppression or GLUT-1 knockdown. TAM-Exos carrying WTAP increased GLUT-1 N6-methyladenosine (m6A) modification and GLUT-1 messenger RNA (mRNA) stability, hence boosting GLUT-1 expression. TAM-Exos boosted aerobic glycolysis by mediating WTAP/GLUT-1, thus decreasing DDP sensitivity and enhancing tumour growth. TAM-Exos promoted the m6A modification of GLUT-1 through WTAP, and improved GLUT-1 mRNA stability and expression, thereby promoting aerobic glycolysis and reducing the chemo-sensitivity of LC.

喉癌(LC)是一种以喉部组织癌细胞发展为特征的疾病。本文重点探讨肿瘤相关巨噬细胞衍生外泌体(TAM-Exos)通过介导Wilms' tumor 1- associated protein (WTAP)/glucose transporter-1 (GLUT-1)参与LC化学敏感性的机制。体外培养人外周血单核细胞(PBMCs)。利用巨噬细胞集落刺激因子(M-CSF)诱导PBMCs向人外周血巨噬细胞(M0)分化,再用20%人重组蛋白鸡尾酒转染sh-WTAP,将其诱导为肿瘤相关巨噬细胞(TAMEMsC-h)。用TAMEMsC-h衍生的Exos、顺铂(DDP)、2-脱氧葡萄糖和小干扰glut -1处理TU686细胞,评估TAMEMsC-h的形态和表型。最后,用DDP和Exos处理裸鼠进行体内验证。tamemsc -h衍生的Exos促进有氧糖酵解,降低LC细胞对DDP的敏感性。tamemsc -h衍生的Exos增加葡萄糖摄取、乳酸、乳酸脱氢酶和三磷酸腺苷水平,促进有氧糖酵解、活力和侵袭,并通过介导WTAP降低凋亡率,从而降低TU686细胞的DDP敏感性。但TAM-Exos的作用在有氧糖酵解抑制或GLUT-1敲低的情况下被逆转。携带WTAP的TAM-Exos增加了GLUT-1 n6 -甲基腺苷(m6A)修饰和GLUT-1信使RNA (mRNA)的稳定性,从而促进了GLUT-1的表达。TAM-Exos通过介导WTAP/GLUT-1促进有氧糖酵解,从而降低DDP敏感性,促进肿瘤生长。TAM-Exos通过WTAP促进GLUT-1的m6A修饰,提高GLUT-1 mRNA的稳定性和表达,从而促进有氧糖酵解,降低LC的化学敏感性。
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引用次数: 0
Exhaustion-Resistant CD8 + T Cells in Ankylosing Spondylitis: A Proposed Three-Axis Model 强直性脊柱炎的抗衰竭CD8+ T细胞:一种提议的三轴模型。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-02 DOI: 10.1111/imm.70044
Xuhong Zhang, Lu Jia, Xueni Lin, Lamei Zhou

Ankylosing spondylitis (AS) is a chronic immune-mediated disease marked by sustained joint inflammation and aberrant bone remodelling. Although chronic antigen exposure usually enforces terminal exhaustion, emerging evidence indicates that a subset of CD8+ T cells in AS evades canonical exhaustion programmes while expressing programmed cell death protein 1 (PD-1). These exhaustion-resistant cells retain effector function and likely contribute to persistent tissue inflammation and structural damage. In this review, we dissect the cellular and molecular basis of exhaustion resistance in AS CD8+ T cells and focus on the convergence of intermittent T cell receptor (TCR) stimulation, metabolic adaptation that preserves mitochondrial fitness, and co-stimulatory inputs from interleukin-15 (IL-15) and CD28. We propose an integrated three-axis model governing CD8+ T cell fate and functional persistence in the AS context shaped by human leukocyte antigen-B27 (HLA-B27) and the gut–joint axis. Clarifying these mechanisms refines current views of T cell dysfunction in chronic inflammation and highlights therapeutic strategies aimed at reprogramming pathogenic immunity in AS.

强直性脊柱炎(AS)是一种慢性免疫介导的疾病,其特征是持续的关节炎症和异常的骨重塑。尽管慢性抗原暴露通常会导致终末衰竭,但新出现的证据表明,AS中的CD8+ T细胞亚群在表达程序性细胞死亡蛋白1 (PD-1)的同时逃避了典型的衰竭程序。这些抗衰竭细胞保留了效应功能,并可能导致持续的组织炎症和结构损伤。在这篇综述中,我们剖析了AS CD8+ T细胞衰竭抵抗的细胞和分子基础,并重点关注间歇性T细胞受体(TCR)刺激的趋同、保持线粒体适应性的代谢适应以及白细胞介素-15 (IL-15)和CD28的共同刺激输入。我们提出了一个由人白细胞抗原b27 (HLA-B27)和肠关节轴形成的控制AS背景下CD8+ T细胞命运和功能持久性的综合三轴模型。阐明这些机制完善了目前对慢性炎症中T细胞功能障碍的看法,并强调了旨在重编程AS致病性免疫的治疗策略。
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引用次数: 0
β-Glucan Protects Against Sepsis-Induced Kupffer Cell Loss by Inhibiting Pyroptosis and Promoting Self-Renewal β-葡聚糖通过抑制焦亡和促进自我更新来保护败血症诱导的库普弗细胞损失。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-02 DOI: 10.1111/imm.70043
Joseph Adams, Tingting Li, Peilin Zhu, Chloe Garbe, Fei Tu, Jared Casteel, Valentin Yakubenko, David L. Williams, Chuanfu Li, Xiaohui Wang

Sepsis is a life-threatening condition characterised by a dysregulated host response to infection, resulting in systemic inflammation, immune dysfunction, and multi-organ failure. Kupffer cells (KCs), the largest population of tissue-resident macrophages in the body, are essential for pathogen clearance, endotoxin detoxification, and maintaining hepatic immune homeostasis during sepsis. However, sepsis induces substantial KC depletion, contributing to increased bacterial burden and mortality. In this study, we demonstrate that β-glucan treatment effectively protects against sepsis-induced KC loss and reduces circulating bacterial load. Mechanistically, β-glucan attenuates KC death by suppressing NLRP3 and gasdermin D (GSDMD)-mediated pyroptosis triggered by bacterial infections. Notably, we identify a previously unrecognised function of β-glucan in markedly enhancing KC self-renewal during sepsis through downregulation of the transcriptional repressors c-Maf and MafB, which are known to inhibit macrophage proliferation. This discovery reveals a novel mechanism of hepatic macrophage regeneration and supports β-glucan as a promising immunomodulatory therapy to preserve liver immune integrity, enhancing antibacterial defence, and reducing the risk of secondary infections in immunocompromised septic hosts.

败血症是一种危及生命的疾病,其特征是宿主对感染的反应失调,导致全身炎症、免疫功能障碍和多器官衰竭。库普弗细胞(KCs)是体内最大的组织巨噬细胞群,在败血症期间对病原体清除、内毒素解毒和维持肝脏免疫稳态至关重要。然而,败血症导致大量KC消耗,导致细菌负担和死亡率增加。在这项研究中,我们证明β-葡聚糖治疗可有效防止败血症诱导的KC损失并减少循环细菌负荷。机制上,β-葡聚糖通过抑制NLRP3和GSDMD介导的细菌感染引发的焦亡来减轻KC死亡。值得注意的是,我们发现β-葡聚糖在脓毒症期间通过下调转录抑制因子c-Maf和MafB显著增强KC自我更新的功能,这是以前未被认识到的,已知c-Maf和MafB抑制巨噬细胞增殖。这一发现揭示了肝巨噬细胞再生的新机制,并支持β-葡聚糖作为一种有前途的免疫调节疗法,可以保护肝脏免疫完整性,增强抗菌防御,降低免疫功能低下的败血性宿主继发感染的风险。
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引用次数: 0
Challenge Specific Modulation of Responses to Adjuvant-Induced Innate Immune Memory 对佐剂诱导的先天免疫记忆反应的挑战特异性调节。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-01 DOI: 10.1111/imm.70047
Samuel T. Pasco, Itziar Martín-Ruiz, Sarai Araujo-Aris, Diego Barriales, Janire Castelo, Leire Egia-Mendikute, Monika Gonzalez, Jose Ezequiel Martin, Elena Molina, Maitane Mugica, Ainhoa Palacios, Iratxe Seoane, Naiara Gutiez, Estibaliz Atondo, Eneko Santos Fernández, Maddi Oyanguren, Borja Jimenez-Lasheras, Ainize Peña-Cearra, Ana M. Aransay, Asis Palazon, Aize Pellón, Leticia Abecia, Hector Rodriguez, Natalia Elguezabal, Juan Anguita

Understanding the innate immune memory induced by adjuvants provides an opportunity to improve vaccine efficacy by inducing nonspecific secondary responses alongside the intended adaptive defence against the target antigen. To understand the consequences of adjuvant-induced immune training, we treated mice with commercially available Sigma Adjuvant System (SAS) and performed functional assays of bone marrow-derived innate immune cells, assessed its functional consequences in vivo, determined the resulting haematopoietic stem and progenitor cell (HSPC) phenotypes, and extensively analyzed the HSPC transcriptome. SAS induced temporal shifts in HSPC frequencies, alterations in the circulating blood profile, and lowered proinflammatory output by macrophages. SAS-induced training caused disparate outcomes in models of inflammation and acute infection. Further, SAS enhanced antibody responses after primary immunisation, that were profoundly altered upon a secondary dose. Integrated transcriptional analysis revealed shifts in HSPCs defined by altered transcription factor activity and lineage-specific shifts in metabolic, epigenetic, myeloid, and kinase genes, resulting in enhanced antimicrobial neutrophil responsiveness and revealing regulators of central training. Together, these results contribute to the understanding of the plasticity and limitations of innate immune training.

了解佐剂诱导的先天免疫记忆,可以通过诱导非特异性继发性反应以及针对目标抗原的预期适应性防御来提高疫苗效力。为了了解佐剂诱导的免疫训练的后果,我们使用市售的Sigma佐剂系统(SAS)对小鼠进行治疗,并对骨髓来源的先天免疫细胞进行功能分析,评估其在体内的功能后果,确定由此产生的造血干细胞和祖细胞(HSPC)表型,并广泛分析HSPC转录组。SAS诱导HSPC频率的时间变化,循环血液谱的改变,以及巨噬细胞促炎输出的降低。sas诱导的训练在炎症和急性感染模型中引起不同的结果。此外,SAS增强了初次免疫后的抗体反应,而在二次免疫后则发生了深刻的变化。综合转录分析揭示了HSPCs的变化是由转录因子活性的改变和代谢、表观遗传、髓系和激酶基因的谱系特异性变化所定义的,从而导致抗菌中性粒细胞反应性增强,并揭示了中枢训练的调节因子。总之,这些结果有助于理解先天免疫训练的可塑性和局限性。
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引用次数: 0
Isogenic Immune Cells From T-iPSCs for Studying T Cell-Macrophage Interactions 来自T- ipscs的等基因免疫细胞研究T-巨噬细胞相互作用。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-09-30 DOI: 10.1111/imm.70041
Ludwig Englmeier, Alexandra Lucaciu
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引用次数: 0
γδ T Cell Infiltration Predicts the Prognosis of Lumbar Disc Herniation γδ T细胞浸润预测腰椎间盘突出症的预后。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-09-24 DOI: 10.1111/imm.70040
Huijuan Wan, Bing Liu, Qian Zhang, Qiang Hua, Chunping Chen, Meixiang Lan, Xiaoying Wen, Wanbin Cai, Yongjun Chen, Ning Zhang, Qing Liang, Kejia Wang

Lumbar disc herniation (LDH) is a common degenerative spinal disorder traditionally attributed to mechanical compression. However, growing evidence suggests that the immune system plays a crucial role in its pathogenesis. The role of alterations in the T cell receptor (TCR) clonal repertoire in LDH and their correlation with neurological recovery was investigated in this study. Immunohistochemical analysis was performed to assess T cell infiltration in nucleus pulposus tissue from patients with LDH, while TCR immune repertoire sequencing was conducted on peripheral blood mononuclear cells to examine TCR clonal diversity and gene rearrangement patterns. The results revealed a significant reduction in TCR clonal diversity in patients with LDH, with selective expansion of specific V, J, and VDJ gene segments indicating abnormal clonal proliferation of certain T cell subsets. Furthermore, local CD3+ (r = 0.5193; p = 0.0039) and TCRγδ+ (r = 0.6137; p < 0.001) T cell densities were positively correlated with Japanese Orthopaedic Association (JOA) scores, whereas white blood cell (r = −0.3861; p = 0.0351) and neutrophil counts (r = −0.4243; p = 0.0194) were negatively correlated with JOA scores. This study highlights the immunological characteristics of TCR repertoire alterations in LDH and suggests that TCR clonal profiling could serve as a potential biomarker for personalized immunotherapy.

腰椎间盘突出症(LDH)是一种常见的退行性脊柱疾病,传统上归因于机械压迫。然而,越来越多的证据表明免疫系统在其发病机制中起着至关重要的作用。本研究探讨了LDH中T细胞受体(TCR)克隆库的改变及其与神经恢复的关系。通过免疫组化分析评估LDH患者髓核组织中的T细胞浸润情况,同时对外周血单个核细胞进行TCR免疫库测序,检测TCR克隆多样性和基因重排模式。结果显示,LDH患者的TCR克隆多样性显著降低,特异性V、J和VDJ基因片段选择性扩增,表明某些T细胞亚群的克隆增殖异常。此外,局部CD3+ (r = 0.5193; p = 0.0039)和TCRγδ+ (r = 0.6137; p = 0.0039
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Immunology
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